Physician Compare National (NPI:1801857305)

HEALTHCARE PROVIDER: ALBERT J CHINN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801857305
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123116878
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140825002642
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHINN
	Individual professional last name
Provider First Name	ALBERT
	Individual professional first name
Provider Middle Name	JONES
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ARKANSAS HEALTHCARE SERVICES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9335134402
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	33
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1900 MALVERN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	HOT SPRINGS NATIONAL PARK
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	719017778
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5016244700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040078
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NATIONAL PARK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y